| 超声造影联合弹性成像对BI-RADS 4类乳腺肿块的诊断价值 |
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| 引用本文： | 李静,郭丽苹,尹丽,方红,叶文秀,胡艳.超声造影联合弹性成像对BI-RADS 4类乳腺肿块的诊断价值[J].医学影像学杂志,2019(4):589-592. |
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| 作者姓名： | 李静 郭丽苹 尹丽 方红 叶文秀 胡艳 |
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| 作者单位： | 大连大学;大连大学附属中山医院超声科;大连大学附属中山医院乳腺外科 |
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| 摘 要： | 目的探讨超声造影(CEUS)联合弹性成像(UE)对BI-RADS 4类乳腺病灶的诊断价值。方法回顾性分析经手术病理证实的190枚BI-RADS 4类病灶的UE及CEUS声像图特点,以手术病理结果为"金标准",采用受试者工作特征(ROC)曲线分别评估两者单独及联合应用调整BI-RADS分类的诊断效能。结果 190枚病灶,病理结果显示良性71枚,恶性119枚。CEUS各增强特点良恶性组间差异均有统计学意义。CEUS、UE及常规超声的受试者工作特征曲线下面积(AUROC)分别为0.848,0.767,0.818,均小于UE联合CEUS调整BI-RADS分类的方法(AUROC为0.935),诊断效能具有统计学意义(P<0.01)。常规超声、UE、CEUS的敏感度、特异度、准确率分别为97.5%,67.6%,86.3%;68.1%,76.1%,71.1%;65.5%,91.5%,75.3%。CEUS联合UE调整BI-RADS分类后的敏感度98.3%,特异度88.7%,准确率94.7%。结论 CEUS在乳腺良恶性病灶的鉴别上有一定的应用价值,CEUS联合UE能进一步提高BI-RADS 4类乳腺病灶的良、恶性鉴别诊断。
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| 关 键 词： | 乳腺肿块 乳腺影像报告和数据系统 超声检查 |
The value of ultrasound contrast-enhanced ultrasound combined with elastography in differential diagnosis of BI-RADS 4 breast lesions |
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| LI Jing,GUO Liping,YIN Li,FANG Hong,YE Wenxiu,HU Yan.The value of ultrasound contrast-enhanced ultrasound combined with elastography in differential diagnosis of BI-RADS 4 breast lesions[J].Journal of Medical Imaging,2019(4):589-592. |
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| Authors: | LI Jing GUO Liping YIN Li FANG Hong YE Wenxiu HU Yan |
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| Institution: | (Dalian University,Dalian 116622,P.R.China;Department of Ultrasonics,Affiliated Zhongshan Hospital of Dalian University,Dalian 116001,P.R.China;Department of Breast Surgery,Affiliated Zhongshan Hospital of Dalian University,Dalian 116001,P.R.China) |
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| Abstract: | LI Jing;GUO Liping;YIN Li;FANG Hong;YE Wenxiu;HU Yan(Dalian University,Dalian 116622,P.R.China;Department of Ultrasonics,Affiliated Zhongshan Hospital of Dalian University,Dalian 116001,P.R.China;Department of Breast Surgery,Affiliated Zhongshan Hospital of Dalian University,Dalian 116001,P.R.China) |
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| Keywords: | Breast lesions Breast imaging reporting and data system Ultrasonography |
| 本文献已被 CNKI 维普 等数据库收录！ |
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